CN101389353B - Enteric gelatinous nutrient and method of preparing the same - Google Patents

Enteric gelatinous nutrient and method of preparing the same Download PDF

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Publication number
CN101389353B
CN101389353B CN2007800060956A CN200780006095A CN101389353B CN 101389353 B CN101389353 B CN 101389353B CN 2007800060956 A CN2007800060956 A CN 2007800060956A CN 200780006095 A CN200780006095 A CN 200780006095A CN 101389353 B CN101389353 B CN 101389353B
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enteric
nutrient
gelatinous
weight
gelatinous nutrient
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CN101389353A (en
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外山义雄
越膳浩
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Meiji Co Ltd
Meiji Dairies Corp
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Meiji Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/01Hydrolysed proteins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/02Nutrients, e.g. vitamins, minerals
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

Abstract

Provided is an enteric gelatinous nutrient which can be safely and easily taken by a patient with dysphagia or a patient under tube feeding without causing gastro-esophageal reflux and a method for preparing the same. An enteric gelatinous nutrient having an appropriate physical value as specified below for preventing a patient with dysphagia or a patient under tube feeding from gastro-esophageal reflux: namely, immediately after mixing the enteric gelatinous nutrient with an aqueous solution having a definite pH value at a weight ratio of 3:7 and gently stirring for 5 seconds, the elution ratio of nutritional components being from 0 to 0.2. An enteric gelatinous nutrient having a physical value as specified below: namely, after mixing the enteric gelatinous nutrient with an aqueous solution having a definite pH value at a weight ratio of 3:7, allowing the mixture to stand for 30 minutes and then gently stirring for 5 seconds, the elution ratio of nutritional components being from 0 to 0.45.

Description

Enteric gelatinous nutrient and preparation method thereof
Technical field
The present invention relates to: acataposis person or throw to the patient in the process etc. through pipe nutrition GERD does not take place, and can be relieved and the enteric nutrient of easy picked-up and preparation method thereof.Say in more detail; The present invention relates to: at the rerum natura of the enteric nutrient that in process such as pipe alimentation etc., can suitably be controlled at gastric portion and the enteric gelatinous nutrient of state, and the method for preparing of the enteric gelatinous nutrient that the viscosity of this enteric gelatinous nutrient is regulated.
Background technology
The enteral nutrition method is to throw to the nutrition approach via gastral physiology, can solve the problem of high calorie infusion method, therefore obtains again recently paying close attention to.
On the other hand, the patient (acataposis person etc.) who ingests, swallows obstacle through the pipe alimentation to having is effective, and has been implemented in a large number.
In the pipe alimentation, have and throw to method through nasal tube alimentation and gastrostomize through pipe nutrition etc.So-called gastrostomize is thrown to method through pipe nutrition; Promptly implement (the Percutaneous Endoscopic Gastrostomy of gastrostomy under the percutaneous endoscope; PEG) after, the conduit through being connected the Weishang is from external nutritive canal logos from (throw and give) nutrition to gastric portion that directly supply with.
Through implementing for a long time in the situation of enteral nutrition through the pipe alimentation, the case that perplexs because of complication such as the mistake that GERD caused of liquid nutritional agent (food liquid) pharynx property pneumonia is also many.
To this, there is report to adopt through the liquid nutritional agent being cured or the liquid towards nutrient is given viscosity, thereby improves viscosity (viscosity), prevent the method for GERD.That is, be devoted to enteric nutrient to be solidified, or give viscosity to enteric nutrient with consistency modifiers with agar.
But before this in the rerum natura of the enteric nutrient of gastric portion and research that state is done and insufficient, only it is generally acknowledged the enteric nutrient solid state, or only give viscosity, just GERD can not take place enteric nutrient.
Promptly; Do not occurred considering on the basis of the rerum natura of the enteric nutrient of gastric portion and state; To the instance that the rerum natura and the state of enteric nutrient are clearly stipulated, the nutritionist for hospital, nursing facility etc. is faced with following situation; Promptly in acataposis person's etc. enteral nutrition method and in the pipe alimentation, lack a criterion in the enteric nutrient preparing with suitable rerum natura.
The spy opens 2003-201230 (patent documentation 1) and spy and opens 2004-26844 (patent documentation 2) and put down in writing and can easily suppress to throw the enteric nutrient that is given to the patient from patient's the stomach enteric nutrient towards the esophagus adverse current through pipe.
Yet, when viscous regulator is used for enteric nutrient, at the rerum natura and the state of the enteric nutrient of gastric portion, experimental research is also insufficient.
And, for example when using agar, in advance in hot water after the heating for dissolving, this aqueous agar solution with after the liquid nutritional agent mixes, need be cooled off under refrigerated condition so that the such complicated operations of solid state (operation) as viscous regulator.And, can make the liquid nutritional agent diluted owing to will this aqueous agar solution be mixed with dense liquid nutritional agent.
As previously mentioned, do not occur before this on the rerum natura of the enteric nutrient of gastric portion and basis that state is considered and enteric nutrient of design and preparation method thereof, its exploitation is expected always.
Summary of the invention
Invent problem to be solved
The present invention has used for reference the said problem of technology in the past, does not take place GERD to the person that provides acataposis grade, and can be relieved and the enteric gelatinous nutrient of easy picked-up as purpose.In addition, go back the method for preparing that the enteric nutrient of regulating this enteric gelatinous nutrient viscosity is provided as purpose.
Also have; The present invention provide can in pipe alimentation etc. at the rerum natura of the enteric nutrient of gastric portion and the enteric gelatinous nutrient that state is suitably controlled, and the method for preparing of enteric gelatinous nutrient of regulating this enteric gelatinous nutrient viscosity is as purpose.
Have again; The present invention provide can to simulated gastric inside decide the enteric gelatinous nutrient suitably controlled from protein stripping (dissociating) state of enteric gelatinous nutrient in the aqueous solution of pH, and the method for preparing of the enteric gelatinous nutrient that the viscosity of this enteric gelatinous nutrient is regulated is as purpose.
Solve the means of problem
The inventor is a mirror with said problem, constantly studies with keen determination, and the result finds, simulated gastric inner decide enteric gelatinous nutrient in the pH aqueous solution protein stripping (dissociating) state can change because of the kind of viscous regulator.
Then, find can protein stripping (dissociating) state of enteric gelatinous nutrient in the deciding pH aqueous solution suitably to be controlled through the kind of these viscous regulators and concentration etc. are controlled, the result accomplishes the present invention.
And then, the method for preparing of the enteric gelatinous nutrient of having found suitably to control protein stripping (dissociating) state of enteric gelatinous nutrient.
About enteric gelatinous nutrient of the present invention, and can be particularly suitable for the method for preparing of the enteric gelatinous nutrient suitably controlled from the protein stripping state of this enteric gelatinous nutrient through the pipe alimentation.
In the pipe alimentation, using the excretory medicine of gastric acid inhibitory (antacid) sometimes.
It is about 2 acidity that state that in the past it is generally acknowledged gastric portion only is pH value, but under the situation of having used the excretory medicine of gastric acid inhibitory (antacid), and it is about 7 neutrality that the state of gastric portion can be pH value.
Therefore, in the present invention, prepared pH value and be 2 with pH value be 7 aqueous solution, as the simulated solution that reproduces gastric portion state.
Use these two kinds of aqueous solutions acid and neutral under the pH value of gastric portion is carried out simulation reconstruction and the experimentize example of Journal of Sex Research of the rerum natura of the enteric gelatinous nutrient of having given viscosity is still belonged to the first time.
And the kind of viscous regulator and concentration also still belong to the first time to different this notion of the influence of GERD and experimental fact.
As said technology in the past; Though occurred relevant acataposis person wait do not take place GERD, and can be relieved and the understanding of the enteric nutrient of easy picked-up and preparation method thereof, do not occur relating to and be conceived at the rerum natura of the enteric nutrient of gastric portion and state and to the understanding of its enteric nutrient of suitably controlling and preparation method thereof.
That is, not example is not clearly stipulated the rerum natura and the state of enteric nutrient on the rerum natura of the enteric nutrient of gastric portion or basis that state is considered before this.
In this; The present invention has reproduced the pH value of gastric portion with acid with neutral simulation; And the rerum natura of the enteric gelatinous nutrient of giving viscosity carried out experimental research; For the nutritionist of hospital, nursing facility etc., in acataposis person's etc. enteral nutrition method and in the pipe alimentation, the judgment standard in the time of can be as the suitable enteric nutrient of preparation rerum natura.
The present invention is based on said understanding and accomplishes; Extremely useful in the following areas: coming when proteinic fluid compositions such as liquid nutritional agent, enteric nutrient, spoon meat, milk product are given viscosity clear and definite judgment standard can be provided with viscous regulator to containing; GERD does not take place in person etc. simultaneously can to provide the acataposis, and enteric nutrient of relieved and easy picked-up and preparation method thereof can be provided.
Enteric gelatinous nutrient of the present invention (for example spoon meat, pharmaceuticals (medical nutrient etc.)); Be to contain oils and fats, protein, saccharide; Added viscous regulator in other well-known in the past enteric nutrient like nutritional labelings such as dietary fiber, vitamins, minerals, organic acid, organic base, fruit juice, flavoring agent classes; Thereby regulate its viscosity and process gelatinous enteric nutrient, specific as follows said.
Enteric gelatinous nutrient; It is characterized in that; When after the aqueous solution that just with enteric gelatinous nutrient and temperature is 25 ℃ mixes by 3: 7 weight ratio, stirring for 5 seconds quietly, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight divided by mixing before said enteric gelatinous nutrient the resulting numerical value of proteinaceous weight (dissolution rate) be 0~0.2.
Enteric gelatinous nutrient; It is characterized in that; Be after 25 ℃ aqueous solution mixes by 3: 7 weight ratio with enteric gelatinous nutrient and temperature; Temperature is adjusted to 25 ℃ and kept 30 minutes, stirs quietly then when 5 seconds, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight be 0~0.45 divided by said enteric gelatinous nutrient institute's resulting numerical value of proteinaceous weight (dissolution rate) before mixing.
[1] or [2] described enteric gelatinous nutrient, it is characterized in that, contain carrageenin and/or xanthan gum.
[3] described enteric gelatinous nutrient is characterized in that, with respect to the gross weight of said enteric gelatinous nutrient, contains the carrageenin of 0.1~3 weight % and/or the xanthan gum of 0.2~2 weight %.
In addition, the method for preparing of the enteric gelatinous nutrient of adjusting enteric gelatinous nutrient viscosity proposed by the invention is described below.
The method for preparing of enteric gelatinous nutrient; Wherein, Gross weight with respect to said enteric gelatinous nutrient; Through with 0.1~3 weight % interpolation carrageenin and/or with 0.2~2 weight % interpolation xanthan gum, [1] or [2] described enteric gelatinous nutrient viscosity is carried out viscosity adjustment.
So-called among the present invention " gel " also can be described as " thick ", be to gastric throw the state to esophagus adverse current degree to the time does not take place, also comprise what is called " colloidal sol shape ".
So-called among the present invention " proteinic weight " is to survey the measured value that the nitrogen method obtains through Kai Daer.
So-called among the present invention " stirring for 5 seconds quietly "; For example, it is 10% hermetic container that headroom is used in expression, with enteric nutrient with when deciding the aqueous solution of pH; With (counter-rotating) about 2 times of slowly overturning of the upper-lower position of hermetic container, for example 1 time, 2 times or 3 times.
So-called among the present invention " maintenance ", for example, using headroom is 10% hermetic container, the state that maintenance after the aqueous solution of enteric nutrient and decide pH is left standstill.
So-called among the present invention " viscous regulator ", expression comprise agar, carrageenin, xanthan gum, locust bean gum, Caesalpinia spinosaKuntze glue, more viscosity such as skin ulcer glue, psyllium seed gum present the Edible material of material.
So-called among the present invention " carrageenin " for example, represented the same water-soluble polysaccharides that extracts from red algae with agar.Be the random coil shape after Kappa type and Iota type carrageenin dissolve in hot water, the cooling back forms double-spiral structure and gelation.As everyone knows, if form gel, carrageenin is the same with agar to need heating, but hydration can take place sodium type carrageenin at short notice in cold water.
In the present invention, carrageenin being added into traditional enteric nutrient (for example spoon meat) as viscous regulator and processing under the situation of enteric gelatinous nutrient of the present invention (for example spoon meat), preferably use sodium type carrageenin.
So-called in the present invention " xanthan gum ", for example, the polysaccharide that expression is produced by microorganism (Xanthomonascampestris).Has the characteristic that can show pseudoplastic behavior (Pseudoplastic) viscous behavior when being dissolved in cold water.
The effect of invention
Through the present invention person that can provide the acataposis or implement through pipe throw in the patient wait do not take place GERD, also can be relieved and the enteric nutrient of easy picked-up, and the method for preparing of regulating the enteric gelatinous nutrient of this enteric gelatinous nutrient viscosity.
Through the present invention; In well-known enteric nutrient in the past, add and mix carrageenin and/or xanthan gum as viscous regulator; Prepare enteric gelatinous nutrient of the present invention; Can control the viscosity of this enteric gelatinous nutrient thus, so as can gastric portion decide under the pH state protein stripping (dissociating) state and suitably control this enteric gelatinous nutrient.
In view of the above; Through the present invention; Can provide: in pipe alimentation etc. at the rerum natura of the enteric nutrient of gastric portion and the enteric gelatinous nutrient that state is suitably controlled, and the method for preparing of regulating the enteric gelatinous nutrient of this enteric gelatinous nutrient viscosity.
In addition; Through the present invention; Can provide: can to simulated gastric inside decide the enteric gelatinous nutrient that protein stripping (dissociating) state of enteric gelatinous nutrient in the aqueous solution of pH is suitably controlled, and the method for preparing of the enteric gelatinous nutrient that the viscosity of this enteric gelatinous nutrient is regulated.
The accompanying drawing summary
[Fig. 1] illustrate and use under the situation that agar keeps as viscous regulator and with static condition, as the dissolution rate of the enteric nutrient of comparative control through the time figure that changes.
[Fig. 2] illustrate use under the situation that carrageenin keeps as viscous regulator and with static condition, the dissolution rate of enteric nutrient through the time figure that changes.
[Fig. 3] illustrate use under the situation that Toromeiku (registered trade mark) keeps as viscous regulator and with static condition, the dissolution rate of enteric nutrient through the time figure that changes.
[Fig. 4] illustrate and use under the situation that agar keeps as viscous regulator and with oscillatory regime, as the dissolution rate of the enteric nutrient of comparative control through the time figure that changes.
[Fig. 5] illustrate use under the situation that carrageenin keeps as viscous regulator and with oscillatory regime, the dissolution rate of enteric nutrient through the time figure that changes.
[Fig. 6] illustrate use under the situation that Toromeiku (registered trade mark) keeps as viscous regulator and with oscillatory regime, the dissolution rate of enteric nutrient through the time figure that changes.
The specific embodiment
The present invention adds in well-known enteric nutrient in the past and mixes carrageenin and/or xanthan gum as viscous regulator; Control the viscosity of this enteric gelatinous nutrient, so as can gastric portion decide under the pH state protein stripping (dissociating) state and suitably control this enteric gelatinous nutrient.
In view of the above; Through enteric gelatinous nutrient of the present invention; Can or use under the gastric portion state (for example pH value is about 7 neutrality) of gastric acid inhibitory secretion medicine (antacid) at original normal gastric internal state (for example pH value is about 2 acidity); Nutritional labeling (protein) stripping to from enteric gelatinous nutrient is controlled arbitrarily, does not sharply increase can make dissolution rate.
Under the situation that dissolution rate sharply increases, the state of GERD can appear being prone to take place.And the method for preparing of the enteric gelatinous nutrient of regulating through enteric gelatinous nutrient of the present invention and to the viscosity of this enteric gelatinous nutrient; Can or use under the gastric portion state (for example pH value is about 7 neutrality) of gastric acid inhibitory secretion medicine (antacid) at original normal gastric internal state (for example pH value is about 2 acidity); Force down dissolution rate; And order organize into the enteric nutrient of polysaccharide etc. of viscous regulator such as carrageenin and/or xanthan gum follow Alimentary activity stripping gradually; Make nutritional labeling in vivo by slow absorption, to produce the state that is difficult for causing GERD.
That is, can provide: the acataposis person or implement through pipe throw patient in giving wait do not take place GERD, also can be relieved and the method for preparing of the enteric gelatinous nutrient with suitable physics value of easy picked-up and enteric gelatinous nutrient that the viscosity of this enteric gelatinous nutrient is regulated.
Enteric gelatinous nutrient of the present invention; It is characterized in that; Just with temperature be 25 ℃ aqueous solution by 3 (enteric gelatinous nutrients): when stirring for 5 seconds quietly after the weight ratio of 7 (aqueous solutions) is mixed, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight divided by mixing before said enteric gelatinous nutrient the resulting numerical value of proteinaceous weight (dissolution rate) be 0~0.2.
If at enteric gelatinous nutrient has been to have stirred quietly under the situation in 5 seconds after 25 ℃ aqueous solution mixes by 3: 7 weight ratio with temperature just; The dissolution rate of nutritional labeling is also bigger than 0.2; Then nutritional labeling stripping from enteric gelatinous nutrient easily such as protein, and nutritional labeling causes GERD easily.
On the other hand, even the dissolution rate of nutritional labeling is 0, group has been gone into the enteric gelatinous nutrient of the polysaccharide of viscous regulator etc. also can be because of behaviors such as the vermicular movement stripping gradually of stomach or intestinal, and nutritional labeling can be in vivo by slow absorption.
As previously mentioned; If at enteric gelatinous nutrient has been to have stirred quietly under the situation in 5 seconds after 25 ℃ aqueous solution mixed by 3: 7 with temperature just; The dissolution rate of nutritional labeling is 0~0.2; Then can or use under the gastric portion state (for example pH value is about 7 neutrality) of the excretory medicine of gastric acid inhibitory (antacid) at original normal gastric internal state (for example pH value is about 2 acidity); Force down dissolution rate; And order organize into the enteric nutrient of polysaccharide etc. of viscous regulator such as carrageenin and/or xanthan gum follow Alimentary activity stripping gradually, make nutritional labeling in vivo by slow absorption, and produce the state that is difficult for causing GERD.
And; At original normal gastric internal state (for example pH value is about 2 acidity) or used under the gastric portion state (for example pH value is about 7 neutrality) of the excretory medicine of gastric acid inhibitory (antacid); Force down dissolution rate, and order organize into the enteric nutrient of polysaccharide etc. of viscous regulator such as carrageenin and/or xanthan gum follow Alimentary activity stripping gradually, make nutritional labeling in vivo by slow absorption; And produce the state that is difficult for causing GERD; In this, said dissolution rate is preferred 0~0.15, and more preferably 0~0.1.
In addition, if consider original normal gastric portion state,, also be advisable with described dissolution rate (be adapted at 0~0.2,0~0.15 more suitable, 0~0.1 is the most suitable) even then the pH of aqueous solution is in 1~8 scope.
The so-called stirring quietly for 5 seconds in the said content as previously mentioned, is meant that using headroom is 10% hermetic container, during with enteric gelatinous nutrient and aqueous solution, with (counter-rotating) about 2 times of slowly overturning of the upper-lower position of hermetic container.
Other enteric gelatinous nutrients of the present invention are characterised in that; The aqueous solution that with enteric gelatinous nutrient and temperature is 25 ℃ is by 3 (enteric gelatinous nutrients): after the weight ratio of 7 (aqueous solutions) is mixed; Temperature is adjusted to 25 ℃ and kept 30 minutes; Stir quietly then under the situation in 5 seconds, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight be 0~0.45 divided by said enteric gelatinous nutrient institute's resulting numerical value of proteinaceous weight (dissolution rate) before mixing.
Be after 25 ℃ aqueous solution mixes by 3: 7 weight ratio with enteric gelatinous nutrient and temperature; Temperature is adjusted to 25 ℃ and kept 30 minutes; Stir under the situation in 5 seconds then quietly; If the dissolution rate of nutritional labeling is also bigger than 0.45, then nutritional labeling stripping from enteric gelatinous nutrient easily such as protein, and nutritional labeling causes GERD easily.
On the other hand, even the dissolution rate of nutritional labeling is 0, group has been gone into the enteric gelatinous nutrient of the polysaccharide of viscous regulator etc. also can be because of behaviors such as the vermicular movement stripping gradually of stomach or intestinal, and nutritional labeling can be in vivo by slow absorption.
As previously mentioned; Be after 25 ℃ aqueous solution mixes by 3: 7 weight ratio with enteric gelatinous nutrient and temperature; Temperature is adjusted to 25 ℃ and kept 30 minutes; Stir under the situation in 5 seconds then quietly; If with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight be 0~0.45 divided by said enteric gelatinous nutrient institute's resulting numerical value of proteinaceous weight (dissolution rate) before mixing; Then can or use under the gastric portion state (for example pH value is about 7 neutrality) of the excretory medicine of gastric acid inhibitory (antacid), force down dissolution rate at original normal gastric internal state (for example pH value is about 2 acidity), and order organize into the enteric nutrient of polysaccharide etc. of viscous regulator such as carrageenin and/or xanthan gum follow Alimentary activity stripping gradually; Make nutritional labeling in vivo by slow absorption, and produce the state that is difficult for causing GERD.
Even in this case, according to aforementioned identical reason, described dissolution rate is preferred 0~0.15, more preferably 0~0.1.
In addition, if consider original normal gastric portion state,, also be advisable with described dissolution rate (be adapted at 0~0.45,0~0.15 more suitable, 0~0.1 is the most suitable) even then pH value of aqueous solution is in 1~8 scope.
In addition, so-called here maintenance as previously mentioned, is meant that using headroom is the state that 10% hermetic container leaves standstill after with enteric gelatinous nutrient and aqueous solution.
The present inventor through after the embodiment that states confirm the said fact, to accomplish the present invention.
Utilize enteric gelatinous nutrient of the present invention explained above, through from the time stripping with appropriateness of the nutritional labelings such as protein of enteric nutrient, nutritional labeling is easy to be absorbed in the body, and forms the state that is difficult for causing GERD.
Before this; At enteric nutrient (for example spoon meat) initial stage of development, energy is that the commodity about 1.0kcal/ml are main flows, and the technological innovation through in recent years etc.; Develop the dense commodity about 1.5kcal/ml, also can develop the ultra dense commodity of 2.0kcal/ml in the future.
Consider because spoon meat thickens, make more efficiently nutrient become possibility, then among the present invention more than the preferred 1.0kcal/ml of the energy of enteric gelatinous nutrient, more preferably more than the 1.5kcal/ml, most preferably more than the 2.0kcal/ml.If not enough 1.0kcal/ml then is difficult to carry out effective nutrient.
Contain oils and fats, protein, saccharide, other viscosity like the known enteric nutrient in the past of nutritional labelings such as dietary fiber, vitamins, minerals, organic acid, organic base, fruit juice, flavoring agent class is about 5~100cP.
Enteric gelatinous nutrient of the present invention is to add viscous regulator to this type of known in the past enteric nutrient; Regulate its viscosity, and process gel, so long as make its viscosity higher limit be easy to by the degree of releases such as syringe; Then not special the qualification; But preferred 100~50000cP, more preferably 1000~20000cP, most preferably 2000~10000cP.
This viscosity preferable range is definite by following viewpoint; Promptly at original normal gastric internal state (for example pH value is about 2 acidity) or used under the gastric portion state (for example pH value is about 7 neutrality) of the excretory medicine of gastric acid inhibitory (antacid); Force down dissolution rate; And order organize into the enteric nutrient of polysaccharide etc. of viscous regulator such as carrageenin and/or xanthan gum follow Alimentary activity stripping gradually; Make nutritional labeling in vivo by slow absorption, and produce the state that is difficult for causing GERD.
If the viscosity of enteric gelatinous nutrient is low excessively, then, can be destroyed immediately through conduit etc. and after just having accumulated in vivo, form fragile state.Through after the conduit, spoon meat (nutritional labeling) does not keep in the substrate just.Can think not remain within the substrate, appropriate section (aqueous solution) just can cause GERD easily.
On the other hand, if the viscosity of enteric gelatinous nutrient is too high, then substrate is difficult to destroy, and forms blocky state, and be difficult to through conduit etc.If the flowability in the conduit worsens, will become the rerum natura that is inappropriate for through pipe alimentation (throw to method etc.) through stomach.
Be not specially limited though be used for the lipid of enteric gelatinous nutrient of the present invention, like soybean oil, Semen Maydis oil, Oleum Gossypii semen, perilla oil, Oleum Cocois, Semen Allii Tuberosi wet goods vegetable oil; Animal oil such as Adeps Bovis seu Bubali, Adeps Sus domestica, fish oil; Synthetic glycerine three esters etc. can use separately or use with combination in any.And lipid energy is advisable to account for 5~40% of the whole energy of enteric gelatinous nutrient.
Though be used for the not special qualification of the protein of enteric gelatinous nutrient of the present invention; But for example vegetable proteins such as animal proteins such as lactoprotein matter or meat protein, soybean protein, contain peptide or amino acid whose protein digestion thing or the like; Can use separately, perhaps use with combination in any.And proteinic energy is advisable to account for 10~30% of the whole energy of enteric gelatinous nutrient.
Though be used for the not special qualification of the saccharide of enteric gelatinous nutrient of the present invention; But monosaccharide such as glucose, fructose for example, polysaccharides such as starch, dextrin comprise the oligosaccharides of disaccharides such as maltose, lactose; Can use separately, perhaps use with combination in any.And the energy of saccharide is advisable to account for 30~85% of the whole energy of enteric gelatinous nutrient.
Though be used for the not special qualification of the nutritional labeling of enteric gelatinous nutrient of the present invention, for example dietary fiber, vitamins, minerals, organic acid, organic base, fruit juice, flavoring agent class or the like can be used separately, perhaps use with combination in any.
Enteric gelatinous nutrient of the present invention does not limit the kind and the concentration of viscous regulator especially, but is advisable to contain carrageenin and/or xanthan gum in the viscous regulator.
That is,, can use separately separately for carrageenin and xanthan gum, also can both and usefulness.
At this moment, carrageenin is advisable with sodium (Na) type of cold water soluble.
For example, if agar, heating for dissolving in hot water in advance then with after the liquid nutritional agent mixes, need be cooled off this aqueous agar solution so that the such complicated operations of solid state with cold preservation.And, owing to will this aqueous agar solution be mixed with dense liquid nutritional agent, can dilute food liquid like this.
On the other hand, the viscous regulator that is main component with the sodium type carrageenin or the xanthan gum of cold water soluble can mix with enteric nutrient under room temperature or cold preservation at an easy rate, therefore very preferably.
And,, mix the ratio of carrageenin separately and be advisable, more preferably 0.3~2.5 weight %, most preferably 0.5~2 weight % with 0.1~3 weight % with respect to the gross weight of enteric gelatinous nutrient of the present invention.
Also have, with respect to the gross weight of enteric gelatinous nutrient of the present invention, the ratio of mix yellow virgin rubber is advisable with 0.2~2 weight % separately, more preferably 0.3~1.5 weight %, most preferably 0.4~1 weight %.
The addition of these carrageenin, xanthan gum and ratio are that (preferred 100~50000cP, more preferably, most preferably 2000~10000cP) is determined by the preferred viscosities of enteric gelatinous nutrient among aforesaid the present invention.
Obviously, at this moment for and with the situation of carrageenin and xanthan gum, compare with the situation of independent use separately, with respect to the gross weight of thick enteric nutrient, mixed proportion is separately reduced.
In addition, and situation with carrageenin and xanthan gum under, can mixing ratio separately be decided to be 99: 1~arbitrary value in 1: 99.
And, can be main component also with carrageenin and/or xanthan gum, and with locust bean gum, Caesalpinia spinosaKuntze glue, the viscous regulators (viscosity presents material) such as skin ulcer glue, psyllium seed gum of healing.
Below enumerate embodiment and describe, but the present invention is not limited thereto with regard to the present invention.
Embodiment 1
The nutritional labeling dissolution rate of enteric gelatinous nutrient in the simulated solution of gastric portion
With regard to viscous regulator (thickening agent, viscosity modifier, viscosity present material) influence of nutritional labeling (protein) dissolution rate (stripping quantity) of gel (thick) enteric nutrient in the simulated solution (model stomach content liquid) of gastric portion (claiming " substrate " in this manual sometimes) is studied.
Model stomach content liquid is 2 kinds, promptly near the acidic aqueous solution (pH=2) of original normal gastric internal state and near the neutral aqueous solution (pH=7) that has used the gastric portion state of the excretory medicine of gastric acid inhibitory (antacid).Dissolution rate defines with following formula.
That is dissolution rate [-]=(free proteinic weight)/(initial proteinaceous weight of enteric nutrient), to model stomach content liquid.
Change the kind of viscous regulator, through the research dissolution rate through the time change the state that comes gastric portion and carried out experimentation.Under the situation that dissolution rate sharply increases, the state of GERD just can appear being prone to cause.
On the other hand, forcing down under the situation of dissolution rate, group has been gone into the enteric nutrient of the polysaccharide of viscous regulator and has been followed Alimentary activity stripping gradually, makes nutritional labeling in vivo by slow absorption, thereby shows the state that is difficult to cause GERD.
Used spoon meat (Mingzhi's emulsion (strain) system as known enteric nutrient in the past; Lipid: 2.8 weight %, protein: 4 weight %, saccharide: 14.5 weight %; Dietary fiber: 1 weight %); On its basis,, use carrageenin, Toromeiku (registered trade mark) (Mingzhi's emulsion (strain) system, main component: xanthan gum (content: 33%)) as viscous regulator
Prepare enteric gelatinous nutrient of the present invention.
In addition, as comparative example, also prepared to use agar as viscous regulator and other conditions the identical and enteric nutrient of preparation.
The cooperation of prepared enteric nutrient (composition) is shown in table 1.
As model stomach content liquid, employed acidic aqueous solution is hydrochloric acid/potassium chloride buffer (pH=2), and employed neutral aqueous solution is phosphate buffer (pH=7).Here, the phosphate buffer of neutral aqueous solution, analog representation goes out to throw the state (modelling) to gastric portion behind the antacid.
The cooperation of the thick enteric nutrient of table 1. (composition)
Form (weight %) Cooperate A Cooperate B Cooperate C Cooperate D Cooperate E Cooperate F
Agar carrageenin Toromeiku 0.5 1.0 ?1.8 ?1.0 2.4 1.2
The distilled water spoon meat 24.5 75.0 24.0 75.0 23.2 75.0 24.0 75.0 22.6 75.0 23.8 75.0
Concrete implementation procedure is following.
(1) respectively will acidic aqueous solution hydrochloric acid/potassium chloride buffer 70g (pH=2) and the phosphate buffer 70g (pH=7) of neutral aqueous solution use with the model stomach content liquid of having thrown to the gastric portion of antacid as original gastric portion.The temperature of model stomach content liquid is about 25 ℃.
(2) will be filled to (the disposable use type of Terumo, capacity: 50ml) in the plastic injector with gel (thick) the enteric nutrient 30g for preparing shown in the table 1.This is in the preparation of enteric gelatinous nutrient, and agar heats (85 ℃) dissolving in distilled water, and carrageenin and Toromeiku (registered trade mark) normal-temperature dissolution in distilled water is prepared into the viscous regulator aqueous solution respectively.And, these viscous regulator aqueous solutions are added in the spoon meat mix, the preparation enteric gelatinous nutrient.The temperature of enteric gelatinous nutrient is about 25 ℃.
The enteric gelatinous nutrient 30g that (3) will be filled in the syringe adds to respectively among model stomach content liquid (pH=2 and the pH=7) 70g.
(4) after just enteric gelatinous nutrient being added to model stomach content liquid, carry out under the condition of stirring, using headroom is 10% hermetic container, and 5 seconds of time spent are with (counter-rotating) 2 times of slowly overturning of the upper-lower position of hermetic container.It is the main purpose of this experiment that the amount that remains on the spoon meat (nutritional labeling) in the thick enteric nutrient (substrate) this moment is measured.For this reason, in embodiment 1, simulation is not done in the vermicular movement of stomach or intestinal etc., and so that substrate with exterior portions reach evenly be purpose overturn (counter-rotating) operate.Using headroom is that 10% hermetic container leaves standstill.Keeping temperature is 25 ℃.
(5) on the other hand, after among the embodiment 2 that states, carried out the operation of vermicular movements such as simulated gastric or intestinal.That is, in embodiment 2, keep while vibrating.The condition of this moment vibration does, about amplitude 35mm, 120 times/minute.And, with temperature among the embodiment 1 be that 25 ℃ (room temperature) are relative, temperature is 37 ℃ in embodiment 2.
(6) for free proteinic weight to model stomach content liquid, the model stomach content liquid (sample) that order has been carried out said (4) or (5) handling through 42 orders (aperture: screen cloth 0.35mm), measure and try to achieve the concentration of the solution that is passed through.At this moment, each condition determination has all been prepared sample.State in the accompanying drawing promptly to be represented be identical conditions sample through the time change, rather than same sample through the time change.
The kind of each enteric nutrient (concentration of agar, carrageenin, Toromeiku (registered trade mark) etc.) with model stomach content liquid (pH=2 and pH=7) made up, thereby set experiment condition.These experiment conditions are shown in table 2.And the dissolution rate under each experiment condition is shown in Fig. 1~Fig. 3.
[table 2]
Table 2. cooperates the combination of (thick enteric nutrient) and pH (model stomach content liquid)
Experiment condition Experiment 1 Experiment 4 Experiment 7
Cooperate pH [-] Cooperate A 2 Cooperate C 2 Cooperate E 2
Experiment condition Experiment 2 Experiment 3 Experiment 5 Experiment 6 Experiment 8 Experiment 9
Cooperate pH [-] Cooperate A 7 Cooperate B 7 Cooperate C 7 Cooperate D 7 Cooperate E 7 Cooperate F 7
Fig. 1 is the experimental result of agar (comparative control), and Fig. 2 is the experimental result of carrageenin, and Fig. 3 is the experimental result of Toromeiku (registered trade mark) (xanthan gum).At this moment, as the character of substrate, during agar the high gel of intensity, during carrageenin the low gel of intensity, be to have mobile colloidal sol shape during Toromeiku (registered trade mark) (xanthan gum).
Be used for Fig. 1 of comparative control (agar), after from syringe substrate just having been released, substrate is destroyed, and is fragile state.After just substrate being released syringe, begin, spoon meat (nutritional labeling) does not remain in the substrate.Because of not remaining in the substrate, can think that this part (aqueous solution) will be easy to cause GERD.At this moment, if use agar with high concentration, then substrate is survivable, is blocky state, but when syringe is released substrate, is needing very big power.If the state of substrate makes it be difficult to be pushed out from syringe, then in pipe alimentation (throw to method through stomach etc.), the flowability in the conduit can variation, shows the rerum natura that is inappropriate for through the pipe alimentation.
In Fig. 2 (carrageenin), after syringe is released substrate, just formed the elongated state (band shape) of substrate when syringe is pushed out.
In Fig. 3 (Toromeiku (registered trade mark)), demonstrate identical on the whole trend with Fig. 2 (carrageenin).This elongated state (band shape) can be destroyed because of the slight stirring extent shown in said (4).
Have again, verified that in embodiment 2 enteric nutrient of gel (thick) can fully destroy because of the behaviors such as vermicular movement of stomach or intestinal, and can be absorbed in the body.
On the other hand, this elongated state (band shape) can be maintained under leaving standstill, and spoon meat (nutritional labeling) can moderately remain in the substrate.Can think that dyschezia is so that GERD to take place owing to moderately remain in the substrate.The speed of digesting and assimilating in pipe alimentation (throw to method through stomach etc.) being controlled aspect (Control) also is useful.
If use carrageenin here, when syringe is released substrate, do not need very big power.If substrate is the state of easy release from syringe, then in pipe alimentation (throw to method through stomach etc.), because the good fluidity in the conduit, formed rerum natura is suitable for through the pipe alimentation.
Compare with Fig. 2 (carrageenin), in Fig. 3 (Toromeiku (registered trade mark)), have the toleration to physical actions such as stirrings, spoon meat (nutritional labeling) remains in the substrate easily.Some different physical property have been demonstrated on Fig. 2 (carrageenin) and Fig. 3 (Toromeiku (registered trade mark)).
Embodiment 2
The nutritional labeling dissolution rate of enteric gelatinous nutrient in the gastric portion simulated solution
Under the experiment condition with actions such as the vermicular movements of simulated gastric and intestinal, the influence of the nutritional labeling dissolution rate of enteric gelatinous nutrient is studied.Experiment condition and embodiment 1 are basic identical.
Concrete experiment condition difference between embodiment 1 and the embodiment 2 is following.
Under the situation that enteric gelatinous nutrient is added to model stomach content liquid and keep, and leave standstill relatively maintenance in embodiment 2 among the embodiment 1 while vibrate.The condition of vibration does here, about amplitude 35mm, 120 times/minute.And, with temperature among the embodiment 1 be that 25 ℃ (room temperature) are relative, temperature is 37 ℃ in embodiment 2.
Identical with embodiment 1, the kind of each enteric nutrient (concentration of agar, carrageenin, Toromeiku (registered trade mark) etc.) with model stomach content liquid (pH=2 and pH=7) made up, thereby set experiment condition.These experimental conditions are shown in table 3.And the dissolution rate under each experiment condition is shown in Fig. 4~Fig. 6.
Table 3. cooperates the combination of (thick enteric nutrient) and pH (model stomach content liquid)
Experiment condition Experiment 10 Experiment 12 Experiment 14 Experiment 16 Experiment 18
Cooperate pH [-] Cooperate B 2 Cooperate C 2 Cooperate D 2 Cooperate E 2 Cooperate F 2
Experiment condition Experiment 11 Experiment 13 Experiment 15 Experiment 17 Experiment 19
Cooperate pH [-] Cooperate B 7 Cooperate C 7 Cooperate D 7 Cooperate E 7 Cooperate E 7
Fig. 4 is the experimental result of agar (comparative control), and Fig. 5 is the experimental result of carrageenin, and Fig. 6 is the experimental result of Toromeiku (registered trade mark) (xanthan gum).
As the character of substrate, during agar the high and crisp gel of intensity, during carrageenin the low gel of intensity, be to have mobile colloidal sol shape during Toromeiku (registered trade mark) (xanthan gum).
At pH value is under the situation of 7 (neutrality), and in arbitrary figure of Fig. 4~Fig. 6, protein is all followed passing and the stripping of time.Can prove that thus under the situation of using the excretory medicine of gastric acid inhibitory (antacid), the enteric nutrient of gel (thick) can fully destroy because of the actions such as vermicular movement of stomach, thereby is digested and assimilated to body.
On the other hand, be under the situation of 2 (acidity) at pH value, in Fig. 4~Fig. 6, situation is different.
At Fig. 4 (agar), after syringe has just been released substrate, the protein stripping, but afterwards As time goes on, protein is stripping hardly.This is because through being to keep under 37 ℃ the acid condition in temperature, enteric nutrient (proteinic a part of degeneration, no longer dissolving) is become one with agar (in small, broken bits), forms insoluble matter.And, through further oscillating operation, these insoluble matter cohesions, thereby not through 42 purpose screen clothes.These are confirmed through visual.Under the situation of the normal gastric of simulation reconstruction portion, intensity height and crisp enteric gelatinous nutrient demonstrate the trend that forms insoluble condensation product because of the actions such as vermicular movement of stomach.
In Fig. 5 (carrageenin), after syringe had just been released substrate, protein is stripping not, but As time goes on stripping lentamente afterwards.Under the situation of the normal gastric of simulation reconstruction portion condition, the low enteric gelatinous nutrient of intensity is because of the destructions slow in one's movements such as vermicular movement of stomach.This can think to have formed than the also blocky substrate of neutral region owing to carrageenin under acid condition does not dissolve.Can think thus, can prove that through simulation experiment the low enteric gelatinous nutrient of intensity slowly digested and assimilated this phenomenon in vivo.
In Fig. 6 (Toromeiku (registered trade mark)), after syringe had just been released substrate, protein is stripping not, but As time goes on moderately stripping afterwards.Under the situation of the normal gastric of simulation reconstruction portion, have mobile colloidal sol shape enteric nutrient and moderately destroy because of the actions such as vermicular movement of stomach.This can think also to have formed than the also blocky substrate of neutral region owing to Toromeiku (registered trade mark) (xanthan gum) under acid condition is the same with carrageenin.
Wherein, under acid condition, not dissolve this phenomenon opposite with carrageenin, and xanthan gum is not dissolve under acid condition.Therefore, do not form condensation product etc., can think that nutritional labeling is from moderately stripping of substrate.
Can think thus, can enough simulation experiments prove that having mobile colloidal sol shape enteric nutrient obtains digesting and assimilating this phenomenon in vivo.
In Fig. 6 (Toromeiku (registered trade mark)), compare with Fig. 5 (carrageenin), easily the physical action because of the vermicular movement of simulated gastric and intestinal etc. destroys, and spoon meat (nutritional labeling) is emitted from the substrate appropriateness easily.Fig. 5 (carrageenin) and Fig. 6 (Toromeiku (registered trade mark)) have shown different rerum natura.
For enteric gelatinous nutrient of the present invention; According to embodiment 1 can confirm " be to stir quietly under the situation in 5 seconds after 25 ℃ aqueous solution mixes by 3: 7 weight ratio just with enteric gelatinous nutrient and temperature, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight divided by mixing before said enteric gelatinous nutrient the resulting numerical value of proteinaceous weight (dissolution rate) be 0~0.2 ".And can confirm " be after 25 ℃ aqueous solution mixes by 3: 7 weight ratio with enteric gelatinous nutrient and temperature; temperature is adjusted to 25 ℃ and kept 30 minutes; stir quietly then under the situation in 5 seconds, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight be 0~0.45 divided by said enteric gelatinous nutrient institute's resulting numerical value of proteinaceous weight (dissolution rate) before mixing ".
And; The result who is studied among the embodiment 2 shows; The enteric gelatinous nutrient of the present invention of said embodiment 1 resultant checking is even under the situation of the vermicular movement of simulated gastric and intestinal etc., also can enough simulation experiments prove that it continues slowly to be absorbed this phenomenon in vivo.
Utilizability on the industry
The person that can provide the acataposis or implement through pipe throw in the patient wait do not take place GERD, and can be relieved and enteric nutrient that easily absorb and preparation method thereof.And, can be provided in pipe alimentation etc. at the rerum natura of the enteric nutrient of gastric portion and enteric gelatinous nutrient that state is suitably controlled and preparation method thereof.

Claims (4)

1. enteric gelatinous nutrient; It is characterized in that; In enteric gelatinous nutrient that just will contain viscous regulator and temperature be stirred for 5 seconds quietly after 25 ℃ aqueous solution mixes by 3: 7 weight ratio when; With in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight be that dissolution rate is 0~0.2 divided by the resulting numerical value of the said enteric gelatinous nutrient proteinaceous weight of institute before mixing; Wherein proteinic weight is surveyed the nitrogen method through Kai Daer and is measured, and said viscous regulator is carrageenin and/or xanthan gum.
2. enteric gelatinous nutrient; It is characterized in that; The enteric gelatinous nutrient that will contain viscous regulator and temperature are after 25 ℃ aqueous solution mixes by 3: 7 weight ratio; Temperature is adjusted to 25 ℃ and kept 30 minutes, stirs quietly then when 5 seconds, with in the said aqueous solution from said enteric gelatinous nutrient stripping proteinic weight divided by the resulting numerical value of the said enteric gelatinous nutrient proteinaceous weight of institute before mixing, be that dissolution rate is 0~0.45; Wherein proteinic weight is surveyed the nitrogen method through Kai Daer and is measured, and said viscous regulator is carrageenin and/or xanthan gum.
3. claim 1 or 2 described enteric gelatinous nutrients is characterized in that, with respect to the gross weight of said enteric gelatinous nutrient, contain the carrageenin of 0.1~3 weight % and/or the xanthan gum of 0.2~2 weight %.
4. the method for preparing of enteric gelatinous nutrient; Wherein with respect to the gross weight of said enteric gelatinous nutrient; Through adding carrageenin with 0.1~3 weight % and/or adding xanthan gum as said viscous regulator, the viscosity of claim 1 or 2 described enteric gelatinous nutrients is regulated with 0.2~2 weight %.
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